Raising Contextual Awareness: The Landscape of Prelicensure Nursing Education

IF 1.7 Q2 NURSING Teaching and Learning in Nursing Pub Date : 2025-01-01 DOI:10.1016/j.teln.2024.08.007
Loretta Aller PhD, MSN, RN, CHSE , Christi Doherty DNP, MSN, RNC-OB, CNE, CHSE, CDP
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Abstract

Background

The healthcare environment continues to evolve with higher acuity patients, skyrocketing healthcare costs, and advancing technology changing how nurses care for patients. Theoretical frameworks are the foundation of nursing education, guiding curriculum development and instructional design yet despite the rapid changes in healthcare and student demographics, theoretical frameworks have not adequately responded to the needs of the workforce, resulting in a persistent rise in attrition.

Methods

A philosophical review of the theoretical frameworks underpinning the landscape of prelicensure nursing education was conducted through traditional literature search methods enhanced by the exploration of accrediting and regulatory bodies.

Results

The AACN Essentials provide the structure and NCSBN's CJMM guides the process for the competence of new nurse graduates, however, until Aller's Development of Decision-Making and Self-Efficacy Model (ADD-SEM) emerged, the role of student psychological capital was not addressed.

Conclusion

To prepare prelicensure nursing students for academic and early career success, educational frameworks must consider emotional transformation as imperative to practice readiness, patient safety, and workforce retention.
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提高背景意识:执照前护理教育的前景
随着急症患者的增加、医疗成本的飙升以及技术的进步,医疗环境不断发展,护士护理患者的方式也在改变。理论框架是护理教育的基础,指导课程开发和教学设计,然而,尽管医疗保健和学生人口统计数据发生了迅速变化,理论框架还没有充分满足劳动力的需求,导致人员流失率持续上升。方法通过传统的文献检索方法,通过对认证和监管机构的探索,对支撑护理资格证书教育前景的理论框架进行哲学回顾。结果AACN基本要素为新护士毕业生的胜任力提供了结构,NCSBN的CJMM指导了过程,但直到Aller的决策与自我效能发展模型(ad - sem)出现后,学生心理资本的作用才得到重视。结论:为了使获得护理执照的学生为学业和早期职业成功做好准备,教育框架必须考虑情感转变,这对实践准备、患者安全和劳动力保留至关重要。
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来源期刊
CiteScore
2.60
自引率
10.50%
发文量
119
审稿时长
37 days
期刊介绍: Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty
期刊最新文献
The ADN Pathway: A Vital Access Point for Nursing's Future New partnership establishes simulation grant award A year of purpose, progress, and possibility The faculty factor: Faculty engagement and retention in accreditation renewal From statistics to mastery: Rethinking item analysis for competency-based nursing education
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